{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"DEBORAH   D JOHNSON","gend":1,"add":"1116 WILSON AVENUE","city":"PULASKI                       ","state":"VA","zip":"24301-2522","dob":"1968-11-28","age":"","mstatus":"","insh":6818326,"cliId":"","pno":5403200465,"cno":"","email":"","ename":"","eno":"","pphy":"COMBS, KIMBERLY H","ppno":4348467374,"pcpadd":"2019 Tate Springs Rd Ste A,","pcpcity":"Lynchburg                     ","pcpstate":"VA","pcpzip":245011131,"pcpcounty":"","pcpid":"","pcpname":"PRIVIA MEDICAL GROUP LLC","plan":"VPHP","program":"MEDICAID","lob":"MLTSS","region":"ROANOKE\/ ALLEGHANY","aligned":"","ano":"","add2":"1116 WILSON AVENUE","add3":"","madd1":"1116 Wilson Ave","madd2":"","madd3":"","mcity":"Pulaski                       ","mstate":"VA","mzip":"24301-2522","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["","1","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["N18.4","N18.9","R10.11","I15.0","E11.22","C18.9","Z11.4","N18.3","I10","E21.1","D63.1","R80.9","D64.9","T80.89XA","L29.9","N18.6","N26.1","C18.2","N17.9","Z00.00","R01.1","I12.9","R11.2","R10.84","Z85.038","R33.8","N19","N18.5","Z01.419","Z12.31","N25.81","Z23","Z13.31","Z01.810","Z49.31","Z99.2","R07.2","G47.9","I99.8","R94.39","E78.5","Z01.818","I25.9","I12.0","G40.909","Z20.828","S30.1XXA","R10.31","X58.XXXA","I97.630","D63.8","E55.9","Z01.812","Z20.822","E11.9","E66.01","Z68.39","J45.998","R56.9","Z79.899","J45.909","D12.3","K52.9","R19.7","Z98.0","Z80.0","G40.409","E66.9","Z90.49","K63.5","Z95.820","Z98.890","Z95.828","K85.90","R10.9","Z66","E87.2","Z68.41","I25.10","E83.42","K86.9","K44.9","K57.90","R07.9","I51.7","M54.5","R10.0","R60.0","M79.89","I13.0","I50.9","I48.92","R39.198","Z79.02","A09","R93.1","R91.8","A41.9","R65.21","D57.3","Z87.442","R41.82","I95.9","R51.9","R42","R53.1","I70.0","M62.81","Z87.898","T82.858A","R22.31","Z98.61","R00.1","R57.1","E86.0","I13.2","Z71.3","R57.9","R09.02","R53.83","Z79.84","J18.1","R53.81","G40.919","I16.0","R09.89","E87.70","R06.02","D69.6","E11.3599","R65.10","K21.9","J18.9","J90","I31.3","J98.11","J98.4","R06.89","R06.00","R07.89","R00.0","I13.11","R41.3","Z99.81","M54.6","Z79.51","R29.6","E11.3512","E11.3591","I15.1","R54","Z76.82","N28.89","D50.9","I08.1"],"date":["2021-06-19","2021-11-23","2020-08-08","2021-10-11","2021-11-16","2021-08-17","2020-07-02","2020-08-05","2021-08-17","2021-02-17","2021-12-01","2021-01-27","2021-08-17","2020-07-08","2020-07-08","2021-12-31","2020-07-17","2021-05-04","2020-11-05","2020-07-24","2020-07-24","2021-08-15","2021-08-06","2021-06-12","2021-11-16","2020-08-08","2020-08-12","2021-08-09","2020-09-02","2021-09-13","2021-12-06","2021-12-22","2020-09-02","2021-03-16","2020-10-01","2021-12-01","2021-09-06","2020-10-15","2020-11-04","2021-01-19","2021-09-06","2021-11-16","2021-11-23","2021-09-06","2021-10-07","2020-11-06","2020-11-15","2020-11-15","2020-11-15","2020-11-16","2021-01-14","2021-11-26","2021-03-12","2021-09-06","2021-08-07","2021-08-15","2021-03-25","2021-11-27","2021-08-07","2021-03-16","2021-09-06","2021-03-25","2021-06-19","2021-03-25","2021-03-25","2021-03-25","2021-03-25","2021-11-16","2021-06-12","2021-03-25","2021-06-03","2021-06-03","2021-09-13","2021-06-19","2021-06-12","2021-07-07","2021-06-12","2021-08-01","2021-06-12","2021-06-12","2021-06-12","2021-06-12","2021-06-12","2021-09-06","2021-06-12","2021-06-12","2021-06-19","2021-06-19","2021-06-19","2021-06-19","2021-08-02","2021-06-19","2021-06-19","2021-10-07","2021-06-19","2021-06-19","2021-08-16","2021-08-16","2021-07-07","2021-08-15","2021-08-01","2021-08-01","2021-08-06","2021-07-07","2021-07-07","2021-11-27","2021-07-07","2021-07-15","2021-07-26","2021-07-28","2021-07-28","2021-07-28","2021-08-06","2021-08-02","2021-08-01","2021-08-01","2021-08-01","2021-08-01","2021-08-18","2021-08-06","2021-08-06","2021-08-06","2021-11-16","2021-08-08","2021-08-15","2021-08-09","2021-10-07","2021-09-06","2021-08-17","2021-08-15","2021-08-15","2021-08-17","2021-08-16","2021-08-15","2021-08-15","2021-08-15","2021-08-15","2021-08-15","2021-08-16","2021-08-15","2021-09-06","2021-10-07","2021-10-07","2021-10-07","2021-09-06","2021-09-06","2021-11-27","2021-10-15","2021-10-15","2021-11-16","2021-11-16","2021-11-23","2021-11-16","2021-12-06","2021-11-23"],"priorHcc":["","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","",""]}}]},{"t":"Covid Screening","q":[{"a":[]}]},{"t":"Self-Assessment and Social History","q":[{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Activities of Daily Living","q":[{"a":[]}]},{"t":"Medical History","q":[{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Family History","q":[{"a":[]}]},{"t":"Preventive Care","q":[{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Allergies \/ Medications","q":[{"a":[]},{"a":{"comment":"","sub":[["","00955105027","SEVELAMER","TAB 800MG","90","Select","Select",""],["","50742026101","NIFEDIPINE","TAB 60MG ER","30","Select","Select",""],["","31722053101","TORSEMIDE","TAB 20MG","60","Select","Select",""],["","62756079888","DIVALPROEX","TAB 500MG DR","60","Select","Select",""],["","76385011150","CARVEDILOL","TAB 6.25MG","60","Select","Select",""],["","45802004064","SELENIUM","LOT 0.025","120","Select","Select",""],["","23155000201","HYDRALAZINE","TAB 25MG","270","Select","Select",""],["","50428042851","CALCIUM\/D3","TAB 600-800","60","Select","Select",""],["","99073070827","FREESTYLE    TES LITE","TES LITE","100","Select","Select",""],["","99073070805","FREESTYLE    KIT LITE","KIT LITE","1","Select","Select",""],["","64679092603","ENALAPRIL","TAB 20MG","60","Select","Select",""],["","00093834410","GLYBURIDE","TAB 5MG","120","Select","Select",""],["","23155000810","HYDROCHLOROT","TAB 25MG","30","Select","Select",""]]}},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Review of Systems and Diagnoses","q":[{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Pain","q":[{"a":[]}]},{"t":"Vital Signs","q":[{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Exam Review","q":[{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Screenings Needed","q":[{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":[]}]},{"t":"Mini-Cog","q":[{"a":[]},{"a":[]}]},{"t":"Home Safety & Personal Goals","q":[{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Active Problem Conditions","q":[{"a":[]}]},{"t":"Patient Summary","q":[{"a1":"","a2":"","a3":"","a4":"","a5":"","a6":"","a7":[],"a8":"","a9":"","a10":[],"a11":"","a12":"","a13":""}]}]}